Feasibility and Impact of a Prehabilitation and Rehabilitation Program for the Continuity of Care in Severe Low Anterior Resection Syndrome.

Launched by HOSPITAL DONOSTIA · Oct 27, 2020

Keywords

ClinConnect Summary

-Study design: A single-arm, non-randomized prospective study that will initially evaluate the compliance and feasibility of a prehabilitation and / or functional rehabilitation program in patients with anterior rectal resection with mesorectal excision for rectal cancer. In addition, clinical outcome variables will be obtained to evaluate the possibility of a subsequent efficacy study.

-Patient selection: Participation in this study will be proposed to all consecutive patients with rectal cancer who are expected to perform a low anterior resection of the rectum with mesorectal excision an...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Low anterior resection of the rectum with mesorectal excision and colorectal anastomosis with or without protective ileostomy
• • POLARS score \>20
• • over 18 years of age
• • give their informed consent
• • Patients who can perform a pelvic floor physiotherapy program and to tibial nerve stimulation.
• Exclusion Criteria:
• • POLARS score less than 20
• • LARS-minor or non-LARS
• • The existence of residual or distant locoregional disease
• • Inflammatory bowel disease (IBD)
• • A previous known diagnosis of irritable bowel syndrome (IBS)
• • Intestinal resections other than the rectum
• • Existence of anastomotic complications
• • Inability to perform pelvic muscle physiotherapy, presence of trophic disorders in the ankles (post-febile syndrome)
• • Known diabetic neuropathy
• • Carriers of pacemakers or implantable defibrillators, and patients who are have previously performed SNS or PTNS.